Outcomes of a health coaching intervention delivered by medical students for older adults with uncontrolled type 2 diabetes

Krok‐Schoen, Jessica L.; Shim, Rosemary; Nagel, Rollin; Lehman, Jennifer; Myers, Marcella; Lucey, Catherine R.; Post, Douglas M.

doi:10.1080/02701960.2015.1018514

Cited by 22 publications

(31 citation statements)

References 40 publications

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“…There is demonstrated success with coaching for chronic problems of hypertension, diabetes, and asthma (Federman et al, 2015; Ogedegbe et al, 2013, Margolius et al, 2012). In efforts directed toward disease management, older adult are assigned target goals such as normal peak flows, normotensive blood pressure, normal hemoglobin A1c, normal BMI (Ogedegbe et al, 2013; Margoulis et al, 2012; Engel & Lindner, 2006; Kronk-Schoen, 2015). Targeting specific health behaviors either in response to a problem or as a preventive measure also has shown favorable outcomes.…”

Section: Background and Significancementioning

confidence: 99%

Examining Life Goals of Community-Dwelling, Low-Income Older Adults

Howard¹,

Louvar²

2017

Research in Gerontological Nursing

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Self-care and self-management programs are touted as a means to age successfully. Yet, these programs pay little regard to a critical first step—the personal goals of older adults. The capacity to self-identify goals and pursue actions toward goal achievement transcends age. An examination of life goals identified by community-dwelling, low-income older adults indicates that functional performance mechanisms are valued. Maintenance of health and increased physical activity were the two most commonly identified personal goals within a sample of 161 community-dwelling older adults residing in subsidized housing. A third goal, increased socialization, aligns with relevant psychosocial factors and reflects the need to engage with others. The preferences of the older adult placed at the center of the care planning process strategically support goal attainment. Providing an opportunity to create and pursue self-selected life goals of older adults is worth consideration when developing and testing interventions designed to support successful aging. [Res Gerontol Nurs. 2017; 10(5):205–214.]

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Section: Background and Significancementioning

confidence: 99%

Examining Life Goals of Community-Dwelling, Low-Income Older Adults

Howard¹,

Louvar²

2017

Research in Gerontological Nursing

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“…3 Medical and nurse practitioner students can fill this role in the care of patients with chronic illness, as has been shown with hypertension and diabetes, thus becoming important members of the clinical team. 4,5 Integral to the SWP are student health coaches who ensure that patients are meeting their pre-operative goals and communicate with other team members when questions or concerns arise.…”

Section: Introductionmentioning

confidence: 99%

Early learners as health coaches for older adults preparing for surgery

Kaplan

Brinson

Hofer

et al. 2017

Journal of Surgical Research

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Background Few opportunities exist for early learners to engage in authentic roles on health care teams. In a geriatric optimization clinic for frail high-risk surgical patients, first year medical and nurse practitioner students were integrated into an interprofessional team as health coaches. Materials and Methods Frail surgical patients with planned operations were referred to a new pre-operative optimization clinic to see a geriatrician, occupational and physical therapists, and a nutritionist. A curriculum for health coaching by early learners was developed, implemented, and evaluated in this clinic. Students attended the clinic visit with their patient, reviewed the interdisciplinary care plan, called patients twice weekly preoperatively, and weekly in the first month after discharge. Students logged all calls, completed patient satisfaction surveys one week before surgery, and participated in feedback sessions with team members and medical school faculty. Call success rate was calculated and team communications were recorded and analyzed. Results Median call success rate was 69.2% and was lowest among medical students (p=0.004). Students and research assistants contacted or facilitated patient contact with their medical team 84 times. Overall, patients were extremely satisfied with the health-coach experience, felt better prepared for surgery, and would recommend the program to others. Conclusions Early medical and nurse practitioner students can serve the important function of health coaches for frail patients preparing for surgery. Motivated students benefited from a unique longitudinal experience and gained skills in communication and care coordination. Not all students demonstrated capacity to engage in health coaching this early in their education.

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“…Although there have been coaching studies (Krok‐Schoen et al, ; Leveille et al, ) including patients with different chronic conditions in the literature, studies using education programs, pulmonary rehabilitation, and phone surveillance are available for COPD patients (Cameron‐Tucker et al, ; Da Silva et al, ). The educational coaching that enhanced the adherence with the test technique to improve the PFT results was performed in individuals with COPD (Gannon, Qaseem, Snow, & Snooks, ; O'Donnell, Bankier, O'Donnell, Loring, & Boiselle, ).…”

Section: Discussionmentioning

confidence: 99%